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1861812877
NICOLE ELLIS
SAN DIEGO, CA
NPI
1861812877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-17
Last Update Date
2014-04-17
Business Address
Ms. NICOLE ELLIS
545 LAUREL ST
SAN DIEGO, CA 92101-1634
Phone number: 818-919-9579
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Mailing Address
Ms. NICOLE ELLIS
4492 ILLINOIS ST APT D
SAN DIEGO, CA 92116-4390
Phone number: 818-919-9579
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